巨细胞动脉炎的成像 - 最近的进展
Claire E Owen1, Max Yates2, David F L Liew1
1Department of Rheumatology, Austin Health, Heidelberg, Victoria, Australia; Department of Medicine, University of Melbourne, Parkville, Victoria, Australia.
Best practice & research. Clinical rheumatology
|June 5, 2023
概括
图像对巨细胞动脉炎 (GCA) 的诊断和管理起着至关重要的作用. 超声波和PET/CT是有价值的工具,但监测疾病活动和长期监测的最佳成像策略需要进一步研究.
科学领域:
- 类风湿病学 类风湿病学
- 放射学 放射学是一门学科.
- 内部医学 内部医学
背景情况:
- 巨细胞动脉炎 (GCA) 的管理越来越依赖于成像.
- 超声波是骨GCA的验证诊断工具,补充了动脉活检.
- 全身PET/CT显示为检测大血管参与GCA的有希望.
研究的目的:
- 审查目前关于GCA诊断和管理中的成像模式的证据.
- 探索成像在监测GCA疾病活动中的作用.
- 讨论使用成像用于长期监测与GCA相关的结构变化.
主要方法:
- 对GCA成像现有文献的系统审查.
- 对超声波和PET/CT的诊断准确性的分析.
- 评估用于疾病活动监测和结构性监测的成像.
主要成果:
- 超声波对于骨GCA诊断是有效的.
- PET/CT正在成为大型船舶GCA的关键工具.
- 影像和临床测量之间的不一致性使得疾病活动监测变得复杂.
结论:
- 在整个GCA护理领域中,成像是必不可少的.
- 需要进一步的研究来优化用于GCA监测和监视的成像协议.
- 标准化成像方法是需要的一致的GCA患者管理.
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